Urogenital TB (UGTB) is the second most common form of extrapulmonary TB (EPTB) in countries with severe epidemic situation and the third most common form in regions with low incidence of TB. Male genital TB (MGTB) seems to be a rare disease. Nevertheless, 77% of men who died from TB of all localizations had prostate TB that had mostly been overlooked during their life time.
A Medline/PubMed research with key words "male genital tuberculosis" was conducted. Estimates of incidence and spectrum of EPTB in Siberia are presented on the basis of statistical reports for 1999-2010. Additionally, the clinical features and laboratory findings of 310 patients with UGTB are reported.
A Medline/PubMed research with key words "male genital tuberculosis" resulted in a total of 861 titles only. During the last decade, the incidence rate of TB in Siberia increased up to 20%. Every year in Siberia, there are about 1000 new EPTB patients; the proportion of UGTB decreased from 42.9 to 33.9%. Late diagnosed complicated forms predominated.
In Siberia, there is still a severe epidemic situation now. Low living standard, poverty, as well as poor knowledge lead to late diagnosis of EPTB with complicated multi-organ forms.
Based on the questionnaires answered by 60 of the 140 schools surveyed, it is apparent that the teaching of andrology receives little emphasis in the schools' curricula. The lack of support given to the teaching of andrology is more evident at the postgraduate than at the undergraduate level. Although andrology is relatively new as an independent biochemical specialty, it is suggested that increased availability of information on andrology to students and physicians would have a positive impact on the quality of health care.
Critics say that the question about gay men on the questionnaires used to screen blood donors is outdated and discriminatory. But a consensus panel formed to examine the screening process says that the safety of the blood supply is paramount and that any changes to the questionnaire might undermine public confidence in the system.